DHSS MO
MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION

OFFICE OF CHILDHOOD

GROUP HOME AND CENTER INSPECTION REPORT
Facility Information

MISSISSIPPI COUNTY INTERAGENCY COUNCIL

002905575

(573) 683-7551

115 W MAIN ST
EAST PRAIRIE
MO  63845-1443

MISSISSIPPI COUNTY INTERAGENCY COUNCIL

603 N GARFIELD ST
EAST PRAIRIE
MO  63845-1403

WARREN, MONICA LOUISE

monicawarren@mccaring.org

Incorporated

TESSA SMITH

6 WEEKS - 12 YEARS

49

GROUP HOME AND CENTER

8 CHILDREN IN THE INFANT/TODDLER UNIT
 
Inspection Information

10/21/2025

8:28 AM

9:28 AM

UNANNOUNCED

COMPLIANCE MONITORING

2502177037


DocumentDocument-Date
SANITATION INSPECTION 03/26/2025
FIRE/SAFETY INSPECTION 04/14/2025
LOCAL FIRE DEPARTMENT NOTIFICATION 04/14/2025
LISTING OF CHILD CARE STAFF/HOUSEHOLD MEMBERS 04/22/2025
LINES OF ADMINISTRATIVE AUTHORITY 04/22/2025
DAILY SCHEDULE 04/22/2025
SAMPLE WEEKLY MENU 04/22/2025
SAFE SLEEP POLICY 04/22/2025
DIRECTOR'S QUALIFICATIONS 04/22/2025
DISCIPLINE POLICIES 04/22/2025
DIAGRAM/INDOOR 04/22/2025
DIAGRAM/OUTDOOR 04/22/2025
EQUIPMENT LIST 04/22/2025
LOCAL ZONING APPROVAL 04/22/2025
DISASTER AND EMERGENCY PREPAREDNESS PLAN 04/22/2025
POLICIES 04/22/2025
JOB RESPONSIBILITIES 04/22/2025
APPLICATION 04/22/2025




Inspection determined facility to be in compliance with licensing rules.
Compliance Licensing Rules
Open Violations: NA
NOTE
The licensee is responsible for compliance with all licensing rules, including but not limited to the rules listed on this compliance report form.
Attendance at Time of Inspection
Total Staff 5
Total Children 29
StaffChildClass AgeNote
2 8 INFANTS AND TODDLERS Peyton Williams & Leah Welch, Caregivers 8 - 4-23 month olds
1 13 PRESCHOOL Christy Duty, Caregiver (Monica Warren, Director/Caregiver switched over to help this group when Savannah Aters arrived 5 minutes into the inspection) 13 - 3-4 year olds
2 8 TWO YEAR OLDS Monica Warren, Director/Caregiver & Savannah Aters, Caregiver (arrived 5 minute into my inspection to take over for Monica) 8 - 2 year olds

Compliance List
5 CSR 25-500.032 Organization and Administration
Compliance
5 CSR 25-500.042 Licensing Process
Compliance
5 CSR 25-500.052 Annual Requirements
Compliance
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
 Provider Comments
Violation
Bathroom supplies were not available and accessible to children as evidenced by there was no toilet paper.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
10/21/2025
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
10/21/2025
Violation
Bathroom supplies were not available and accessible to children as evidenced by soap was not within children's reach.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.

Correction Verification
Corrected on Site

Compliance Date
10/21/2025
5 CSR 25-500.087 Fire Safety
Violation
 Provider Comments
Violation
The door, located leading the fenced in playground, used as an exit from the facility was locked.
Licensing Rule Reference
5 CSR 25-500.087 Fire Safety (4) (C) 3. states: No door in a means of egress shall be locked against egress travel when the building is occupied. Locking devices that impede or prohibit egress or that cannot be disengaged easily shall not be used. Dead bolt locks that require a key to unlock the door from the inside shall not be used. Locking or latching devices installed on doors shall not be located higher than fifty inches (50") above the finished floor.
Correction Required
Exit doors shall not be locked/impede exit from the building.

Correction Verification
Corrected on Site

Compliance Date
10/21/2025
5 CSR 25-500.090 Disaster and Emergency Preparedness
Compliance
5 CSR 25-500.092 Furniture, Equipment and Materials
Compliance
5 CSR 25-500.102 Personnel
Compliance
5 CSR 25-500.112 Staff/Child Ratios
Violation
 Provider Comments
Violation
Group size requirements were not met as evidenced by 21 children, ages 2 years through 4 years, were cared for by 2 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.

Correction Verification
Corrected on Site

Compliance Date
10/21/2025
Violation
Staff/child ratio requirements were not met as evidenced by 13 children , ages 3 through 4 years, were cared for by 1 adult caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: The staff/child ratio and group size shall be followed as outlined in the below chart unless it meets an exception in subparagraphs (1)(B)-(G) below: Infants, toddlers, and 2-year-olds shall have one caregiver for every four children with no more than eight children per group; Groups composed solely of children 24 to 36 months shall have one caregiver for every eight children with no more than 16 children per group; Groups composed solely of children 3 to 4 years shall have one caregiver for every 10 children with no more than 20 children per group; Groups composed solely of children 5 years or older shall have one caregiver for every 16 children with no more than 32 children per group; A mixed group of children consisting of no more than four children age 2 years, and at least one child older than 3 years shall have one caregiver for every 10 children with no more than 20 children per group; A mixed group of children consisting of more than four children ages 24 to 36 months, and at least one child older than 36 months shall have one caregiver for every eight children with no more than 16 children per group.
Correction Required
Staff/child ratios and group sizes shall be maintained at all times.

Correction Verification
Corrected on Site

Compliance Date
10/21/2025
5 CSR 25-500.122 Medical Examination Reports
Compliance
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
5 CSR 25-500.142 Nighttime Care
Compliance
5 CSR 25-500.162 Overlap Care of Children
Compliance
5 CSR 25-500.172 Emergency School Closings
Compliance
5 CSR 25-500.182 Child Care Program
Compliance
5 CSR 25-500.192 Health Care
Compliance
5 CSR 25-500.202 Nutrition and Food Service
Compliance
5 CSR 25-500.212 Transportation and Field Trips
Compliance
5 CSR 25-500.222 Records and Reports
Compliance
5 CSR 25-600.020 General Requirements
Compliance
5 CSR 25-600.040 Background Screening Findings
Compliance
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
RSMo 210.211.  License required - exceptions - written notice of licensure status, when.
Compliance